Rural Health
Resources by Topic: Health workforce education and training
Opportunities to Improve Opioid Use Disorder and Infectious Disease Services: Integrating Responses to a Dual Epidemic
Examines opioid use and drug-related infectious diseases. Identifies the barriers to integration of opioid use disorder (OUD) and infectious disease services, including barriers faced in rural areas such as workforce shortages. Offers strategies to overcome those barriers. Offers case studies of programs that have successfully integrated services, including programs serving rural areas. Includes policy recommendations.
Additional links: Read Online, Report Highlights
Author(s): Board on Population Health and Public Health Practice
Date: 2020
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Examines opioid use and drug-related infectious diseases. Identifies the barriers to integration of opioid use disorder (OUD) and infectious disease services, including barriers faced in rural areas such as workforce shortages. Offers strategies to overcome those barriers. Offers case studies of programs that have successfully integrated services, including programs serving rural areas. Includes policy recommendations.
Additional links: Read Online, Report Highlights
Author(s): Board on Population Health and Public Health Practice
Date: 2020
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Health Care Workforce: Views on Expanding Medicare Graduate Medical Education Funding to Nurse Practitioners and Physician Assistants
Describes the Department of Health and Human Services' (HHS) Medicare Graduate Medical Education (GME) program. Provides an overview of current federal funding for physician, nurse practitioner (NP), and physician assistant (PA) training. Explores the potential benefits and challenges of expanding the Medicare GME program to include funding for graduate NP and PA training.
Additional links: Full Report
Date: 12/2019
Sponsoring organization: Government Accountability Office
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Describes the Department of Health and Human Services' (HHS) Medicare Graduate Medical Education (GME) program. Provides an overview of current federal funding for physician, nurse practitioner (NP), and physician assistant (PA) training. Explores the potential benefits and challenges of expanding the Medicare GME program to include funding for graduate NP and PA training.
Additional links: Full Report
Date: 12/2019
Sponsoring organization: Government Accountability Office
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Preparing Physicians for Rural Practice: Availability of Rural Training in Rural-Centric Residency Programs
Results of a 2015 survey of residency programs that were located in rural areas or had rural tracks in 7 specialties and had classified training locations as rural or urban by using Rural-Urban Commuting Area codes. Features statistics for various specialties and types of sponsoring institutions, with breakdowns by rural-centric or nonrural-centric programs.
Author(s): Davis G. Patterson, Holly A. Andrilla, Lisa A. Garberson
Citation: Journal of Graduate Medical Education, 11(5), 550–557
Date: 10/2019
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Results of a 2015 survey of residency programs that were located in rural areas or had rural tracks in 7 specialties and had classified training locations as rural or urban by using Rural-Urban Commuting Area codes. Features statistics for various specialties and types of sponsoring institutions, with breakdowns by rural-centric or nonrural-centric programs.
Author(s): Davis G. Patterson, Holly A. Andrilla, Lisa A. Garberson
Citation: Journal of Graduate Medical Education, 11(5), 550–557
Date: 10/2019
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Enhancing Services for Deaf, Hard of Hearing, and Deafblind Patients in Rural America
Discusses the barriers to care that rural patients who are deaf, hard of hearing, or deafblind face, including lack of accommodations and inadequate clinician training. Features a Michigan clinic with American Sign Language-fluent staff, a New Jersey state division providing deaf sensitivity training, and a Colorado program that brings interpreters to rural communities.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 10/2019
Sponsoring organization: Rural Health Information Hub
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Discusses the barriers to care that rural patients who are deaf, hard of hearing, or deafblind face, including lack of accommodations and inadequate clinician training. Features a Michigan clinic with American Sign Language-fluent staff, a New Jersey state division providing deaf sensitivity training, and a Colorado program that brings interpreters to rural communities.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 10/2019
Sponsoring organization: Rural Health Information Hub
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Public Health and Health Professional Education at a Tribal College: A Collaborative Immersion Program in Rural North Dakota
Describes a partnership between a tribal college in rural Spirit Lake, North Dakota and New York medical education institutions to offer summer courses on healthcare professions and public health from 2009-2015. Discusses the lack of Native American representation in healthcare. Presents data on participant experiences from a small focus group of former students, instructors, and visiting professionals, exploring the successes and challenges of developing the program.
Author(s): Charlotte Austin, Elizabeth Berg, Loretta Heuer, et al.
Citation: Rural and Remote Health, 19(3), 5020
Date: 09/2019
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Describes a partnership between a tribal college in rural Spirit Lake, North Dakota and New York medical education institutions to offer summer courses on healthcare professions and public health from 2009-2015. Discusses the lack of Native American representation in healthcare. Presents data on participant experiences from a small focus group of former students, instructors, and visiting professionals, exploring the successes and challenges of developing the program.
Author(s): Charlotte Austin, Elizabeth Berg, Loretta Heuer, et al.
Citation: Rural and Remote Health, 19(3), 5020
Date: 09/2019
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Use of Apprenticeship to Meet Demand for Medical Assistants in the U.S.
Reports findings from a study of registered medical assistant (MA) apprenticeship programs in 12 states. Discusses the workforce needs these programs may help address, including workforce needs in rural communities. Describes the programs and discusses challenges with starting and maintaining MA apprenticeship programs.
Additional links: Policy Brief
Author(s): Andrew D. Jopson, Susan M. Skillman, Bianca K. Frogner
Date: 09/2019
Sponsoring organization: UW Center for Health Workforce Studies
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Reports findings from a study of registered medical assistant (MA) apprenticeship programs in 12 states. Discusses the workforce needs these programs may help address, including workforce needs in rural communities. Describes the programs and discusses challenges with starting and maintaining MA apprenticeship programs.
Additional links: Policy Brief
Author(s): Andrew D. Jopson, Susan M. Skillman, Bianca K. Frogner
Date: 09/2019
Sponsoring organization: UW Center for Health Workforce Studies
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State Strategies to Address Opioid Use Disorder Among Pregnant and Postpartum Women and Infants Prenatally Exposed to Substances, Including Infants with Neonatal Abstinence Syndrome
Identifies state strategies to improve outcomes for pregnant and postpartum women with opioid use disorder and infants prenatally exposed to substances, including opioids. Discusses strategies focused on access to and coordination of quality services, including approaches such as telemedicine that are useful in rural areas. Also discusses strategies related to provider awareness and training and other topics.
Author(s): Charlan D. Kroelinger, Marion E. Rice, Shanna Cox, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(36), 777-783
Date: 09/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Identifies state strategies to improve outcomes for pregnant and postpartum women with opioid use disorder and infants prenatally exposed to substances, including opioids. Discusses strategies focused on access to and coordination of quality services, including approaches such as telemedicine that are useful in rural areas. Also discusses strategies related to provider awareness and training and other topics.
Author(s): Charlan D. Kroelinger, Marion E. Rice, Shanna Cox, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(36), 777-783
Date: 09/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Family Medicine Rural Training Track Residencies: Risks and Resilience
Results of a study to understand threats to rural training track (RTT) program sustainability and resilience factors that help RTTs to thrive.
Author(s): Davis G. Patterson, David Schmitz, Randall L. Longenecker
Citation: Family Medicine, 51(8), 649-656
Date: 09/2019
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Results of a study to understand threats to rural training track (RTT) program sustainability and resilience factors that help RTTs to thrive.
Author(s): Davis G. Patterson, David Schmitz, Randall L. Longenecker
Citation: Family Medicine, 51(8), 649-656
Date: 09/2019
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Expanding the Native American Health Care Workforce
Offers recommendations for increasing the number of American Indian and Alaska Native (AI/AN) medical school applicants, students, and graduates based on a summit, Populating the Native Health Care Workforce with American Indian and Alaska Native Physicians. Discusses the distribution of AI/AN physicians and the need for more AI/AN physicians to address health workforce shortages and disparities in Indian Country.
Date: 08/2019
Sponsoring organizations: Association of American Indian Physicians, Association of American Medical Colleges, UnitedHealth Group
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Offers recommendations for increasing the number of American Indian and Alaska Native (AI/AN) medical school applicants, students, and graduates based on a summit, Populating the Native Health Care Workforce with American Indian and Alaska Native Physicians. Discusses the distribution of AI/AN physicians and the need for more AI/AN physicians to address health workforce shortages and disparities in Indian Country.
Date: 08/2019
Sponsoring organizations: Association of American Indian Physicians, Association of American Medical Colleges, UnitedHealth Group
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Geriatrician Roles and the Value of Geriatrics in an Evolving Healthcare System
Research report focusing on how geriatric roles are changing as healthcare systems and organizations reorganize care. Features information on ways telemedicine is used in geriatric care delivery in rural areas, including the TeleECHO (Extension for Community Health Outcomes) model.
Author(s): Timothy Bates, Aubri Kottek, Joanne Spetz
Date: 07/2019
Sponsoring organization: University of California San Francisco Health Workforce Research Center on Long-Term Care
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Research report focusing on how geriatric roles are changing as healthcare systems and organizations reorganize care. Features information on ways telemedicine is used in geriatric care delivery in rural areas, including the TeleECHO (Extension for Community Health Outcomes) model.
Author(s): Timothy Bates, Aubri Kottek, Joanne Spetz
Date: 07/2019
Sponsoring organization: University of California San Francisco Health Workforce Research Center on Long-Term Care
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